Provider Demographics
NPI:1174898548
Name:NOFZIGER, ANGEL ELIZABETH (NP)
Entity type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:ELIZABETH
Last Name:NOFZIGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 PALLADIAN VILLAGE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-8204
Mailing Address - Country:US
Mailing Address - Phone:678-494-7800
Mailing Address - Fax:678-494-7885
Practice Address - Street 1:3750 PALLADIAN VILLAGE DR STE 300
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066
Practice Address - Country:US
Practice Address - Phone:678-494-7800
Practice Address - Fax:678-494-7885
Is Sole Proprietor?:No
Enumeration Date:2012-03-18
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN192187363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health